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Despite overwhelming evidence of the growing public health problem caused by untreated Chlamydia trachomatis,1 it remains a problem largely ignored by the urological fraternity. It is the most commonly reported bacterial sexually transmitted infection (STI) in Europe, and the commonest cause of epididymo-orchitis in sexually active young men.2 Many of these cases present initially to the urologist with suspected testicular torsion, but remain under the urologist once the diagnosis of epididymo-orchitis is made. Clear and specific guidelines for the management of sexually active young men with epididymo-orchitis have been available for over the past decade,3 4 yet surveys suggest many urologists still disregard these recommendations.5 We audited the management of young men with acute epididymo-orchitis by the …
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